Post on 26-Mar-2015
transcript
Countdown to ZERO
ETCH CLABSI Project for ETCH CLABSI Project for Tennessee Initiative for Tennessee Initiative for
Perinatal Quality Care (TIPQC) Perinatal Quality Care (TIPQC) and the THA Patient Safety and the THA Patient Safety
CenterCenter
“Above all, do no harm.”
Purpose your life to live Purpose your life to live your passionyour passion
Let that passion drive all Let that passion drive all that you do, every that you do, every
decision, every patient, decision, every patient, every timeevery time
We Provide GOOD CARE!……..Don’t We?
THA Patient Safety Center Kick-offTHA Patient Safety Center Kick-offIntroduction to Peter Pronovost Introduction to Peter Pronovost and the Josie King storyand the Josie King story
SEARCHING for a NICU modelSEARCHING for a NICU model THA Regional MeetingsTHA Regional Meetings
Staff ExposureStaff ExposurePassion IgnitedPassion Ignited
Our House
Freestanding 152 bed not-for-profit Freestanding 152 bed not-for-profit pediatric facilitypediatric facility
44 bed NICU employing around 180 44 bed NICU employing around 180 staff membersstaff members
600 pts/ year ADC 36, all patients out 600 pts/ year ADC 36, all patients out bornborn
58-60% of patients on TennCare58-60% of patients on TennCare Large number high risk mothers, Large number high risk mothers,
teens,substance abuse, little prenatal teens,substance abuse, little prenatal care, limited resourcescare, limited resources
Fumbling Around for a Map….. CPQCC and CPQCC and
NACHRINACHRI Search for a state Search for a state
collaborativecollaborative Team engagementTeam engagement Educational Educational
meetingsmeetings Identifying key Identifying key
stakeholdersstakeholders CDC and NHSNCDC and NHSN
Where are we starting?CLABSI NICU 2008 by Quarter
0
2
4
6
8
10
12
Q1 Q2 Q3 Q4
Infections Rate
Q1 Q2 Q3 Q4Infections 11 6 4Rate 10.7
Who is driving?
Drive culture Drive culture changechange
Engage the staffEngage the staff FOCUS GroupsFOCUS Groups Engage the parentsEngage the parents Get OUT of the Get OUT of the
way!way! Celebrate Celebrate
SUCCESSSUCCESS!!
We are LOST!!!
TIPQC!!!!!TIPQC!!!!! Like minded people with PASSIONLike minded people with PASSION CLABSI Pilot ProjectCLABSI Pilot Project
CLABSI Rate Per 1000 Central Line Days by Month, 2008-2009 East Tennessee Children's Hospital
Weight Group: All Birith WeightsUnit Type: All
7.92
8.85
3.47
11.15
0.00
2.99
9.52
4.63
3.11
4.99
9.62
0.00
3.47
0.00 0.00
4.07
0.00 0.00
3.73
0.00 0.00
2.44
3.64
2.79
4.67
1.29
2.38
3.69
3.122.83
4.87
3.06
1.16
1.93 1.76
2.83
2.171.60 1.61
1.34
0.74
0.00
-2.00
0.00
2.00
4.00
6.00
8.00
10.00
12.00
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP
Month
Rate
per
100
0 Ce
ntra
l Lin
e Da
ys
CLABSI Rate
TN Benchmark
NHSN Benchmark
Linear (CLABSI Rate)
Linear (TN Benchmark)
CLABSI Rate Per 1000 Central Line Days by Month, 2008 East Tennessee Children's Hospital
PMSCC - Pediatric Medical/Surgical Critical Care
0.00 0.00 0.00
19.23
0.00
8.26
10.00
7.52
0.00 0.00
13.16
10.10
0.00 0.00 0.00 0.00
8.62
0.00 0.00 0.00 0.000.88
3.873.15
4.55
3.214.08
6.70
2.96
1.202.22
5.46
3.63
1.68 1.74
5.75
2.463.18 3.09
2.042.78
2.02
0.00
5.00
10.00
15.00
20.00
25.00
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP
Month
Rate
per
100
0 Ce
ntra
l Lin
e Da
ys
Rate Per 1000 Central Line Days
TN Benchmark
NHSN Benchmark
Linear (Rate Per 1000 Central Line Days)
Linear (TN Benchmark)
Lessons Learned…..
Never Never underestimate the underestimate the POWER of POWER of HUMILITY and HUMILITY and TRANSPARENCYTRANSPARENCY
Follow your Follow your PASSIONPASSION
UNLEASH the UNLEASH the power of your power of your staffstaff and and parentsparents
TIPQCEast Tennessee Regional Advisory Committee (ETRAC)
Saving Lives…..Saving Lives…..Improving Improving OutcomesOutcomes